Trial Outcomes & Findings for Comorbidities Associated With Migraine and Patent Foramen Ovale (CAMP) (NCT NCT01257880)

NCT ID: NCT01257880

Last Updated: 2011-09-27

Results Overview

Embolic tracks on transcranial Doppler at rest and following calibrated Valsalva maneuver

Recruitment status

COMPLETED

Target enrollment

31 participants

Primary outcome timeframe

Baseline

Results posted on

2011-09-27

Participant Flow

Over a 20-month period (January 2010 to May 2011), 127 subjects were screened and 31 were enrolled from Swedish Medical Center and the University of Washington Medical Center, including 19 with MA + PFO and 12 with MA - PFO.

Of 127 potential subjects screened, reasons for exclusion included the following: 22 (17%) chronic migraine or medication overuse headache; 9 (7%) topiramate use; 6 (5%) stroke or multiple sclerosis; 39 (31%) other (declined, low frequency); 12 (9%) small to medium sized PFO; 8 (6%) fetal origins.

Participant milestones

Participant milestones
Measure
Control (Absence of PFO)
Persons who have migraine aura and no evidence of PFO, based on transcranial Doppler evaluation.
Large PFO
Persons who have migraine aura and large PFO, as assessed by transcranial Doppler evaluation.
Overall Study
STARTED
12
19
Overall Study
COMPLETED
12
19
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comorbidities Associated With Migraine and Patent Foramen Ovale (CAMP)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control (Absence of PFO)
n=12 Participants
Persons who have migraine aura and no evidence of PFO, based on transcranial Doppler evaluation.
Large PFO
n=19 Participants
Persons who have migraine aura and large PFO, as assessed by transcranial Doppler evaluation.
Total
n=31 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=5 Participants
19 Participants
n=7 Participants
31 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age Continuous
37 years
STANDARD_DEVIATION 10 • n=5 Participants
35 years
STANDARD_DEVIATION 11 • n=7 Participants
35 years
STANDARD_DEVIATION 11 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
16 Participants
n=7 Participants
27 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants
19 participants
n=7 Participants
31 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline

Embolic tracks on transcranial Doppler at rest and following calibrated Valsalva maneuver

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Baseline

The percentage change in basilar artery blood flow velocity from baseline between hypercapnia (increased blood CO2) and hypocapnia (decreased blood CO2), as measured by transcranial Doppler during a single testing period. This is calculated using the following equation: VMR = 100 x (VelocityHYPERCAPNIA - VelocityHYPOCAPNIA) / VelocityBASELINE

Outcome measures

Outcome measures
Measure
Control (Absence of PFO)
n=12 Participants
Persons who have migraine aura and no evidence of PFO, based on transcranial Doppler evaluation.
Large PFO
n=19 Participants
Persons who have migraine aura and large PFO, as assessed by transcranial Doppler evaluation.
Cerebral Vasomotor Reactivity (VMR)
89 Percentage change
Standard Deviation 20
97 Percentage change
Standard Deviation 24

PRIMARY outcome

Timeframe: Baseline

Platelet-poor plasma levels of sCD40L and P-selectin, and serum concentration of TXB2.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Following one night of a home sleep study

Population: The analysis was based on per protocol.

An apnea-hypopnea index (AHI) \>10 per hour during a home sleep study, defined as at least 5 hours of recorded data on the portable sleep monitor instrument for either the apnea-hypopnea index (AHI) or oxygen desaturation index (ODI) and at least 3 hours for the other index. The scale adopted for assessment of sleep apnea is as follows: AHI \< 5, optimal; AHI 5-10, equivocal, participant may have sleep apnea; AHI \>10, sleep apnea highly likely.

Outcome measures

Outcome measures
Measure
Control (Absence of PFO)
n=11 Participants
Persons who have migraine aura and no evidence of PFO, based on transcranial Doppler evaluation.
Large PFO
n=16 Participants
Persons who have migraine aura and large PFO, as assessed by transcranial Doppler evaluation.
Sleep Apnea, Number of Participants
0 participants
1 participants

PRIMARY outcome

Timeframe: Baseline

Cognitive function will be assessed by a battery of performance-based neuropsychological tests.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline

Measurement of number of times per hour blood oxygen saturation decreases by at least 4% during home sleep study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Within 5 years prior to enrollment

Presence and severity of white matter lesions on magnetic resonance imaging, taken within 5 years prior to study enrollment. Subjects will not have magnetic resonance imaging performed as part of this study. Films will be requested and an independent neuroradiologist will assess presence of white matter lesions.

Outcome measures

Outcome data not reported

Adverse Events

Large PFO

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control (Absence of PFO)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jill T. Jesurum, Ph.D.

Swedish Medical Center

Phone: 206-683-1505

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place